This SPA revises the Dialysis Clinic, Family Planning Clinic, Medical Clinic, and Rehabilitation Clinic fee schedules.

This SPA revises the DSS fee schedule for Ambulatory Surgical Centers, which is within the clinic benefit category section of the Medicaid State Plan.

This SPA amends the state's Early and Periodic Screening, Diagnostic, and Treatment benefit.

This SPA amend the provisions governing therapeutic group homes (TGH) in order to reflect the coordinated system of care (CSoC) contractor moving from a non-risk contract to a full-risk capitated contract and to reflect that TGH are carved out of management by the CSoC contractor to align with current practice and contract requirements.

This SPA proposes to provide triennial assurance of the pharmacy program adherence to the requirements of federal regulation for the time period October 1, 2012 through September 30, 2015.

This SPA update the coverage description for Early Intervention Services (EIS) pursuant to Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services.

This amendment reimburses certain physician administered drugs (PAD), referred to as Clinician Administered Drug and Implantable Drug System Devices (CADDs), using the state's existing lesser of methodology under the pharmacy reimbursement methodology.

The SPA increases the personal needs allowance (PNA) to $70 for individuals and $140 for couples medical institutions and residential settings in accordance with COLA adjustments and legislative funding.

Changes to copayments.

This SPA allows assistant physicians to become MO HealthNet providers while acting under a supervision agreement between a licensed physician and an assistant physician